What are the responsibilities and job description for the Quality Program and Improvement Manager position at Georgia Department of Community Health?
The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP) and Healthcare Facility Regulation, impacting one in four Georgians.
Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state's most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s three program divisions. DCH employees are based in Atlanta, Cordele and across the state.
DCH is committed to providing superior Customer Service and Communication, embracing Teamwork and fostering Accountability to ensure that our internal and external customers and stakeholders feel included, respected, engaged and secure.
The Department of Community Health is seeking qualified candidates for the Quality Program and Improvement Manager position. This is a hybrid position that requires in-office and remote work with the approval of your supervisor. Your days of frequency in the office can change at any time during your employment based on the business needs of the organization.
Plans, manages and coordinates quality initiatives and programs in an effort to improve health outcomes for the Medicaid population. Ensures that programs are managed using a data-driven focus that sets priorities for improvements aligned with ongoing strategic imperatives. Provides leadership necessary to achieve meaningful improvement when compared over time and to national benchmarks. Participates in and supports efforts to plan, develop, organize, monitor, communicate and recommend modifications to the State’s quality strategic plan and performance improvement projects. Supports the Director in efforts to ensure that the quality of healthcare services rendered by providers, inclusive of contracted managed care plans, meets or exceeds professionally recognized community standards. Oversees activities and supports facilitation of the Quality Oversight Committee. Provides leadership to assigned staff.
Essential duties and responsibilities:
- Develop and analyze reports to plan, monitor and evaluate quality interventions to meet established federal, contractual and other state-related quality.
- Collaboratively or individually researches and develops performance measurement strategies to improve the health status of the Medicaid beneficiaries.
- Reviews monthly and quarterly reports for Quality Oversight Committee meetings
- Coordinates interaction between department, agency, and facility operating units, other programs and/or external customers as appropriate
- Maintains a knowledge base of HEDIS and CMS Core Sets measures
- Participates in the planning, coordination, development and implementation of long-range departmental and divisional goals and objectives
- Coordinating activities and meetings of the Quality Oversight Committee (QOC):
- Coordinate selection of Performance Measures to assess CMOs’ effectiveness of service and care delivery.
- Manage and evaluate performance of assigned staff, provide coaching, training and other performance related work as needed.
Note: An equivalent combination of knowledge, education, job or intern experience, training, or certifications that provides the necessary knowledge and skills to successfully perform the job at the level listed may be substituted year-over-year.
Bachelor's degree in a related field from an accredited college or university AND Six years of experience managing professional level staff OR Ten years of related professional experience AND Six years managing at the level equivalent to area of assignment OR Six years of experience required at the lower level Sr Mgr 2, Business Ops (GSM013) or position equivalent. Note: An equivalent combination of education and job specific experience that provided the knowledge, experience and competencies required to successfully perform the job at the level listed may be substituted on a year-over-year basis. PREFERRED QUALIFICATIONS: Preference will be given to candidates who, in addition to meeting the minimum qualifications, demonstrate some or all the following skills/experiences): Quality and/or Systems Improvement Certification and/or experience (e.g. Certified Professionals in Healthcare Quality, Lean Six Sigma, project management) Experience in quality improvement/management activities and strategic planning Experience with Medicaid or Quality measures Microsoft Office Excel proficiency Strong Verbal and written communication skills Demonstrated ability to make presentation to colleagues and leadership- internal and external stakeholders Analytical and problem-solving skills Ability to work in a changing/flexible environment |
EARN MORE THAN A SALARY! In addition to a competitive salary, the Georgia Department of Community Health offers a generous benefits package, which includes employee retirement plan; paid holidays annually; vacation and sick leave; health, dental, vision, legal, disability, accidental death and dismemberment, health and child care spending account.
Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered, but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. Applicants who are not selected will not receive notification.
THIS POSITION IS SUBJECT TO CLOSE AT ANY TIME ONCE A SATISFACTORY APPLICANT POOL HAS BEEN IDENTIFIED. APPLICATIONS WITHOUT WORK EXPERIENCE LISTED WILL NOT BE CONSIDERED. CURRENT GEORGIA STATE GOVERNMENT EMPLOYEES WILL BE SUBJECT TO STATE PERSONNEL BOARD (SPB) RULE PROVISIONS. THE POSITION MAY BE FILLED AT A LOWER OR HIGHER POSITION LEVEL.
This position is unclassified and employment is at-will. Candidates for this position are subject to
a background history and reference check. For more information about this job
contact: : http://dch.ga.gov
Salary : $59,331 - $91,000
